These people require careful and compassionate counselling. Take the opportunity to discuss safe sex with gay menĪ married man or woman might benefit from couples counselling If an adolescent is confused about his or her sexuality try to help the patient to adjust The counsellor must be seen to be completely impartial and not encourage any particular outcome.īe honest with yourself if you are uncomfortable with gay people refer the patient to someone else Some choose to remain married, and the couple may need help to reorganise the basis of their heterosexual relationship. Some people change their mindĭisapproval-The days when physicians would try to impose their own moral standards on their patients should be long past. If individual clinicians are aware that they are uncomfortable with the issues of gay sex and relationships then they should refer the patient on to somebody else. It is difficult to focus on the relevant clinical issues if you are having to concentrate on your own discomfort and trying not to express it. Inaccurate advice-It is unwise to advise patients on subjects that they may know more about than you do, and if anal sex is not something that you know much about it is better to admit this rather than offer inaccurate or misleading advice. Local genitourinary medicine clinics should be aware of what services are available locally and which are considered as “gay friendly” and can be used as a source of reference. Patients’ reticence-Even if a doctor is comfortable with homosexual patients it does not follow that such patients are comfortable with the doctor.
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Gay men face practical problems, such as a future application for life insurance, which mean that some patients will not wish to disclose their sexual orientation to their general practitioner, no matter how sympathetic and confidential. It is unclear what proportion of men and women have same sex experiences in their lives. Studies have been fraught with methodological errors and with researchers trying to confirm their own preconceptions. Recently, the national survey of sexual attitudes and lifestyles estimated that 1% to 6% of the male population had had such experiences, depending on how homosexuality was defined. 2 These values are lower than many other estimates, probably because of the method of the study. Gay men and lesbians have as wide a range of sexual lifestyles as does the general community. Some homosexuals live in a stable partnership and never have sex elsewhere. Others have a strong, committed relationship but with an open acknowledgment that one or both partners also have sexual liaisons elsewhere.
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Infidelity in a supposedly closed relationship is probably just as common as among heterosexuals.
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